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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 1 (1991), S. 33-45 
    ISSN: 1432-1084
    Keywords: AIDS ; Gastrointestinal manifestations ; Opportunistic infections ; Kaposi's sarcoma ; Non-Hodgkin lymphoma ; B-cell lymphoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Twohundred and twenty-five adult patients with AIDS were seen at the Academic Medical Center over a 5-year period. Of these patients, 70% were found to have gastrointestinal disease: 32% oropharyngeal candidiasis: 12,5% cytomegalovirus infection, mostly in rectum or colon (5.3%), and 8% mycobacterium. Kaposi's sarcoma, which has been reported in 27% of the cases in literature, was present in 29%, of our patients. We had a rather ow incidence of non-Hodgkin lymphoma of the gastrointestinal tract (1,3%). With double-contrast barium studies of the GI tract early superficial mucosal changes can be detected. Endoscopy, especially in Kaposi's sarcoma, may be complementary.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 79-82 
    ISSN: 1432-2218
    Keywords: Biliary endoprostheses ; Ampullary carcinoma ; Endoscopic drainage ; Duodenal stenosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Endoscopically placed biliary endoprostheses were used to treat obstructive jaundice in 71 patients with ampullary carcinoma. Successful placement of an endoprosthesis was achieved in 68 patients (95.8%). Bilirubin declined in 67 patients (98.5%). There was no procedure-related mortality. Twenty-two patients (31%) received further surgical therapy, and 47 received an endoprosthesis as their only therapeutic intervention. In the latter group, bilirubin normalized in 44 of 46 patients surviving longer than 30 days (95.7%). Mean survival was 466 days (median 410, range 23-1515), which compares favorably with surgical palliation. Complications mainly involved clogging of the endoprosthesis, which was easily treated endoscopically and, more significantly, duodenal stenoses secondary to continued tumor growth in almost 25% of the patients. Although endoscopic drainage is a safe and effective method of relieving biliary obstruction in patients with ampullary carcinoma, we feel it should be reserved for poor surgical candidates and for those patients with a limited life expectancy due to metastatic disease.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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